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Organization

DERMATOLOGY ASSOCIATES OF WESTLAKE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDOLPH CAPRI MD (PARTNER)
(805) 495-0551
Entity
Organization

Contact information

Practice address
1240 S WESTLAKE BLVD, SUITE 205, WESTLAKE VILLAGE, CA 91361-1929
(805) 495-0551
(805) 496-8079
Mailing address
1240 S WESTLAKE BLVD, SUITE 205, WESTLAKE VILLAGE, CA 91361-1929
(805) 495-0551
(805) 496-8079

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265401251
NPI
CA
Enumeration date
03/14/2006
Last updated
09/07/2010
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